Individual
MR. WILL CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, MBA, LADAC II
Contact information
Practice address
999 GIRL SCOUT RD, BURNS, TN 37029-9065
(615) 570-4105
Mailing address
999 GIRL SCOUT RD, BURNS, TN 37029-9065
(615) 570-4105
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LDC0000001489
TN
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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